Sudden cardiac death in athletes

Bockeria, O.L.; Ispiryan, Artak

doi:10.15275/annaritmol.2013.1.5

Cited by 7 publications

(1 citation statement)

References 32 publications

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“…Ее вероятность возрастает при постепенном развитии патологических кардиальных изменений на фоне бессистемных тренировок, выполнении чрезмерных нагрузок, перенапряжении во время острых инфекционных заболеваний, при наличии генетических предпосылок к развитию дизадаптации, а также при использовании фармакологических препаратов, в том числе допинговых средств. Применение последних относится к частым несердечным причинам внезапной смерти, к которым приковано пристальное внимание мировой общественности [58]. В настоящее время перечень препаратов для допинга включает около 150 средств, среди которых присутствуют стимуляторы центральной и периферической нервной системы, наркотические обезболивающие средства, анаболические стероиды, диуретики, пептидные гормоны, каждый из которых по-своему негативно воздействует на сердечно-сосудистую систему [59].…”

Section: структура причин внезапной сердечной смерти в спортеunclassified

Some topical aspects of the problem of "sports heart" (review). Part I

Вахненко

Доровских

Gordienko

et al. 2020

Bûlletenʹ fiziologii i patologii dyhaniâ

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The cardiovascular system experiences the greatest overload, morphological and functional changes in elite sport, which in a number of athletes undergoes non-adaptive (pathological) remodeling both functional and morphological. The latter is characterized by certain objective features, including echocardiography indicators, which occupies a special place in sports cardiology. Structural and functional changes beyond the generally accepted norm (pronounced cardiac hypertrophy or dilatation, high arterial hypertension) can be associated with systolic or diastolic myocardial dysfunction and impaired electrical properties, some of which are predictors of severe complications up to sudden cardiac death and pose a serious problem regarding the admission of athletes to training and competition. This review is devoted to summarizing the views of authoritative specialists in the field of sports medicine on the criteria of pathological remodeling of the heart muscle, the role of echocardiography in its diagnosis, the discussion of the limits of the norm of response to blood pressure load, the analysis of the main causes of sudden cardiac death of athletes, the realities and prospects of genetic selection in sports.

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Section: структура причин внезапной сердечной смерти в спортеunclassified

Some topical aspects of the problem of "sports heart" (review). Part I

Вахненко

Доровских

Gordienko

et al. 2020

Bûlletenʹ fiziologii i patologii dyhaniâ

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Some Topical Aspects of the “Sports Heart” Problem (Literature Review). Part I

Коротких

Vakhnenko

Kashtanov

2023

Current Problems in Cardiology

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Algorithm for the management of patients with ventricular arrhythmias recorded during wakefulness

2022

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Aim. To study the clinical and electrocardiographic characteristics of exerciseinduced arrhythmias and develop an algorithm for managing patients with exerciseinduced ventricular arrhythmias (VA).Material and methods. For the period from 2015 to 2019 203 patients with VA during periods of wakefulness were selected from the database of patients who performed Holter monitoring; 167 of them were selected, who underwent a treadmill test (TT) according to the standard Bruce protocol. During TT, the qualitative and quantitative characteristics of VA were assessed. Further examination and treatment were carried out according to the proposed algorithm.Results. In 80 patients (48% of all those who underwent TT), regardless of VA presence in the pretest, arrhythmias had an exercise nature and appeared and/or progressed during exercise. These patients were included in the present study to assess the causal relationship of VA with any disease. Following the algorithm, coronary artery disease was verified in 15 people, stage I-II hypertension — in 25, and minor heart defects — in 21. Of the remaining 19 patients without association of exercise-induced VA with any disease during the initial examination, 5 patients were diagnosed with arrhythmogenic cardiomyopathy/right ventricular dysplasia during prospective follow-up. In the remaining 14, VAs were considered idiopathic.Conclusion. The presented algorithm can accelerate both the search for the causes of exercise-induced VA and the choice of personalized treatment.

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Sudden cardiac death in athletes

Cited by 7 publications

References 32 publications

Some topical aspects of the problem of "sports heart" (review). Part I

Some topical aspects of the problem of "sports heart" (review). Part I

Some Topical Aspects of the “Sports Heart” Problem (Literature Review). Part I

Algorithm for the management of patients with ventricular arrhythmias recorded during wakefulness

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